Home >  Cardiology MDTV >  Cardiology Shorts >  Journal Club: Analysis of...

Journal Club: Analysis of Risk Factors Associated with Early Mortality in TAPVC Repairs

Written By :  Dr. Nandita Mohan
Published On 2025-04-26 04:00 GMT   |   Update On 2025-05-20 09:35 GMT
Advertisement
This is a recent journal article published in the Journal of Cardiac Critical Care published by Scientific Scholar.
Total anomalous pulmonary venous connection (TAPVC) is a congenital cardiac malformation. If it is not repaired surgically, the chances of survival of the patient are meager. Due to the improved perioperative care and surgical techniques, the overall results have also improved. This study assesses the risk factors in relation to early mortality in TAPVC repairs performed over a period of 10 years by a single surgeon in our institute.
Eighty-eight patients who were surgically treated for TAPVC at our institute over a period of 10 years by a single surgeon formed the basis of this retrospective observational study. The information regarding patient demographic details, pre-operative evaluation, surgical procedure, post-operative course, and follow-up after discharge was retrieved by searching operation theatre (O.T) registries, medical record sections, and finally by patient follow-up in outpatient department/telephonic follow-up.
Advertisement
Results showed that out of 88, 64 were male patients and 24 were female patients. About 25% of the participants had age ≤1 month. The TAPVC type was supracardiac in 46.6% cases, cardiac in 27.3%, infracardiac in 15.9%, and mixed in 10.2%).
Of the 88 TAPVC patients, 33 were obstructed at the time of operation. Twenty-nine patients had to be taken up for emergency TAPVC repair.
Thirteen patients were on mechanical ventilation preoperatively and 18 patients required pre-operative inotropic support. Mean cardiopulmonary bypass (CPB) time in our study was 63.36 min, and cross-clamp duration was 34.4 min.
Patients required to be ventilated postoperatively for an average of 4.18 days. Mean intensive care unit (ICU) and hospital stay were 8.01 days and 17.8 days respectively. Eleven patients died postoperatively. Out of these, eight had age of <1 month.
All of the 11 mortalities had at least some PAH in the post-operative period. However, 16 out of the surviving 77 patients had PAH.
Therefore, it was concluded that supracardiac type was the most common subtype of TAPVC followed by cardiac. Early mortality was 12.5%, while late mortality was 3.9%. Age <1 month, low weight at the time of surgery, pre-operative obstructed pulmonary veins, pre-operative need of mechanical ventilation, pre-operative inotrope requirement, repair of TAPVC on an emergency basis, and post-operative PAH were important risk factors for early mortality.
Ref: Murtaza SM, Prakash M, Gupta S, Devagourou V. Analysis of Risk Factors Associated with Early Mortality in Total Anomalous Pulmonary Venous Connection (TAPVC) Repairs Performed Over a Period of 10 Years – A Retrospective Observational Study. J Card Crit Care TSS. 2025;9:44-51. doi: 10.25259/JCCC_55_2024
Full View
Tags:    

Disclaimer: This website is primarily for healthcare professionals. The content here does not replace medical advice and should not be used as medical, diagnostic, endorsement, treatment, or prescription advice. Medical science evolves rapidly, and we strive to keep our information current. If you find any discrepancies, please contact us at corrections@medicaldialogues.in. Read our Correction Policy here. Nothing here should be used as a substitute for medical advice, diagnosis, or treatment. We do not endorse any healthcare advice that contradicts a physician's guidance. Use of this site is subject to our Terms of Use, Privacy Policy, and Advertisement Policy. For more details, read our Full Disclaimer here.

NOTE: Join us in combating medical misinformation. If you encounter a questionable health, medical, or medical education claim, email us at factcheck@medicaldialogues.in for evaluation.

Dr. Nandita Mohan

Dr. Nandita Mohan is a practicing pediatric dentist with more than 5 years of clinical work experience. Along with this, she is equally interested in keeping herself up to date about the latest developments in the field of medicine and dentistry which is the driving force for her to be in association with Medical Dialogues. She also has her name attached with many publications; both national and international. She has pursued her BDS from Rajiv Gandhi University of Health Sciences, Bangalore and later went to enter her dream specialty (MDS) in the Department of Pedodontics and Preventive Dentistry from Pt. B.D. Sharma University of Health Sciences. Through all the years of experience, her core interest in learning something new has never stopped. She can be contacted at editorial@medicaldialogues.in. Contact no. 011-43720751

Comments Policy
Our comments section is governed by our Comments Policy . By posting comments at Medical Dialogues you automatically agree with our Comments Policy , Terms And Conditions and Privacy Policy .

Similar News

Exercise Rehab Eases Irregular Heart Rhythm and Improves Mental Health: Study Finds

Even Few Workouts a Week Could Lower Death Risk for People with Diabetes: Study Suggests

Want Lower Blood Pressure? This Juice May Help, Study Finds Out

AI ECG Tool Detects Hidden Heart Disease More Accurately Than Doctors: Study Finds

"Sugar-Free" but Not Risk-Free: Popular Sugar Substitute May Be Linked to Stroke, Study Finds

Heart Healthy Habits May Shield You from Cancer, Dementia, Diabetes and More: Study

Can High Blood Pressure During Pregnancy Shorten Breastfeeding Duration? Study Sheds Light

Can Nighttime Avocado Snack Improve Heart Health? New Study Says Yes